Healthcare Provider Details

I. General information

NPI: 1053699363
Provider Name (Legal Business Name): YOUNG ADULTS' HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2011
Last Update Date: 08/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 N HURON ST
YPSILANTI MI
48197-2607
US

IV. Provider business mailing address

47 N HURON ST
YPSILANTI MI
48197-2607
US

V. Phone/Fax

Practice location:
  • Phone: 734-484-3600
  • Fax: 734-484-3100
Mailing address:
  • Phone: 734-484-3600
  • Fax: 734-484-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE DOYLE
Title or Position: CLINIC BUSINESS MANAGER
Credential:
Phone: 734-484-3600